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What is Manual therapy?

Manual therapy has a long history within the profession of physical therapy and physical therapists have greatly contributed to the current diversity in manual therapy approaches and techniques. Mechanical explanations were historically used to explain the mechanisms by which manual therapy interventions worked, new research reveals intricate neurophysiologic mechanisms are also at play and the beneficial psychological effects of providing hands-on examination and intervention should not be ignored.[1]
The International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT) defines manual therapy techniques as: “Skilled hand movements intended to produce any or all of the following effects: improve tissue extensibility; increase range of motion of the joint complex; mobilize or manipulate soft tissues and joints; induce relaxation; change muscle function; modulate pain; and reduce soft tissue swelling, inflammation or movement restriction.”

According the the American Academy of Orthopaedic Manual Physical Therapists (AAOMPT) Description of Advanced Specialty Practice (DASP), orthopaedic manual physical therapy (OMPT) is defined as: any “hands-on” treatment provided by the physical therapist.

Treatment may include moving joints in specific directions and at different speeds to regain movement (joint mobilization and manipulation), muscle stretching, passive movements of the affected body part, or having the patient move the body part against the therapist’s resistance to improve muscle activation and timing. Selected specific soft tissue techniques may also be used to improve the mobility and function of tissue and muscles.”

Manual physical therapy is a specialised form of physical therapy delivered with the hands as opposed to a device or machine. It has an important place in Physiotherapy and when used appropriately by practitioners is a very effective set of tools literally at our fingertips.

Dr. Raj Maheshwari (PT) has done Complete MCMT® Program. The program allows the participants to learn and master the following techniques to treat problems that may develop in the respective region:

  • Myofascial Trigger Point Therapy
  • Strain & Counter-Strain
  • Muscle Energy Technique
  • Mobilization & Manipulation
  • Neuro-Mobilization
  • ProPrioceptive Training
  • Stabilization

Thus he is expert for:

  • Strengthening Programs
  • Stretching Exercises
  • Spray & Stretch Technique
  • Proprioceptive Training
  • Cervical Disc Disease
  • Cervical Radiculopathy
  • TMJ Dysfunction
  • Cervical Pseudo-Radiculopathy
  • Headaches
  • Lumbar Surgeries Prevention
  • Sciatic Pain
  • Piriformis Syndrome
  • Sacro-Iliac Dysfunction
  • Lumbar Radiculopathy
  • Bicipital Tendonitis
  • Carpal Tunnel Syndrome
  • Biceps Tendonitis
  • Ulnar Nerve Entrapment at Cubital Tunnel or Guyon’s Canal
  • Extremity Pathology
  • Trochanteric & Hip Bursitis
  • Terminal Knee Extension Disorders
  • Chronic Plantar-Fasciitis
  • Hip Osteoarthrosis
  • Knee Effusions & Ligamentous
  • Tarsal Tunnel Syndrome
  • Advanced technique integration and principles
  • General and specific principles of evaluation/assessment
  • Proper referral to other healthcare professionals
  •  and many more complicated and rare pain and body disorders.